Legionella-Associated Lung Abscess: Critical Pathogen or Minor Isolate?

Two cases of lung abscess, in which Legionella species were identified in association with other bacterial isolates, are presented. In the first case, Legionella pneumophila and Klebsiella pneumoniae were identified in a 24-year-old post renal transplant patient with a right upper lobe pulmonary abs...

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Main Authors: Gordon CK Dow, Anthony W Chow
Format: Article
Language:English
Published: Wiley 1992-01-01
Series:Canadian Journal of Infectious Diseases
Online Access:http://dx.doi.org/10.1155/1992/985398
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author Gordon CK Dow
Anthony W Chow
author_facet Gordon CK Dow
Anthony W Chow
author_sort Gordon CK Dow
collection DOAJ
description Two cases of lung abscess, in which Legionella species were identified in association with other bacterial isolates, are presented. In the first case, Legionella pneumophila and Klebsiella pneumoniae were identified in a 24-year-old post renal transplant patient with a right upper lobe pulmonary abscess. Healing did not occur until the institution of specific therapy directed against legionella. In the second case, Legionella micdadei and several other respiratory bacterial pathogens were identified in a 74-year-old woman with a lung abscess. The patient later died with multisystem failure despite adequate antimicrobial therapy. Prior cases of legionella-associated lung abscess have occurred predominantly in corticosteroid-treated patients. The role of coexisting bacterial isolates remains obscure.
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spelling doaj-art-e99992638a3f4ec982debfa43fa998f32025-02-03T05:59:55ZengWileyCanadian Journal of Infectious Diseases1180-23321992-01-013631531810.1155/1992/985398Legionella-Associated Lung Abscess: Critical Pathogen or Minor Isolate?Gordon CK Dow0Anthony W Chow1Division of Infectious Diseases, Department of Medicine, University of British Columbia and Vancouver General Hospital, Vancouver, British Columbia, CanadaDivision of Infectious Diseases, Department of Medicine, University of British Columbia and Vancouver General Hospital, Vancouver, British Columbia, CanadaTwo cases of lung abscess, in which Legionella species were identified in association with other bacterial isolates, are presented. In the first case, Legionella pneumophila and Klebsiella pneumoniae were identified in a 24-year-old post renal transplant patient with a right upper lobe pulmonary abscess. Healing did not occur until the institution of specific therapy directed against legionella. In the second case, Legionella micdadei and several other respiratory bacterial pathogens were identified in a 74-year-old woman with a lung abscess. The patient later died with multisystem failure despite adequate antimicrobial therapy. Prior cases of legionella-associated lung abscess have occurred predominantly in corticosteroid-treated patients. The role of coexisting bacterial isolates remains obscure.http://dx.doi.org/10.1155/1992/985398
spellingShingle Gordon CK Dow
Anthony W Chow
Legionella-Associated Lung Abscess: Critical Pathogen or Minor Isolate?
Canadian Journal of Infectious Diseases
title Legionella-Associated Lung Abscess: Critical Pathogen or Minor Isolate?
title_full Legionella-Associated Lung Abscess: Critical Pathogen or Minor Isolate?
title_fullStr Legionella-Associated Lung Abscess: Critical Pathogen or Minor Isolate?
title_full_unstemmed Legionella-Associated Lung Abscess: Critical Pathogen or Minor Isolate?
title_short Legionella-Associated Lung Abscess: Critical Pathogen or Minor Isolate?
title_sort legionella associated lung abscess critical pathogen or minor isolate
url http://dx.doi.org/10.1155/1992/985398
work_keys_str_mv AT gordonckdow legionellaassociatedlungabscesscriticalpathogenorminorisolate
AT anthonywchow legionellaassociatedlungabscesscriticalpathogenorminorisolate